MR. JOHN WESLEY HENDERSON II DO
NPI 1477258804
Student in an Organized Health Care Education/Training Program in Raleigh, NC
About Mr. John Wesley Henderson Ii Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN WESLEY HENDERSON II DO (NPI 1477258804) is an individual student in an organized health care education/training program in Raleigh, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John Wesley Henderson Ii Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Henderson's NPI number?
The NPI number for John Henderson is 1477258804. It was assigned to this individual provider in the NPPES registry on April 4, 2023.
Where is John Henderson located?
John Henderson practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.
What is John Henderson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Henderson enrolled in Medicare?
Yes. John Henderson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Henderson was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. John Wesley Henderson II, DO · NPI 1477258804
Student in an Organized Health Care Education/Training Program provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since April 4, 2023.
## Identity
- **NPI:** 1477258804 (Entity type: Individual)
- **Enumerated:** April 4, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 NEW BERN AVE, Raleigh, NC 27610-1231
- **Phone:** (919) 350-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477258804) · Data from the CMS NPPES public registry.